Iipilisi zeDexmethylphenidate: Isikhokelo Esibalulekileyo Kule Meza ye-ADHD

Iipilisi zeDexmethylphenidate: Konke Okufuneka Ukwazi Ngalo Myeza we-ADHD

Physician Reviewed — Not Medical Advice

Ngaba wena okanye umntwana wakho nikhe nakufumanisa kunzima kakhulu ukugxila kumsebenzi omnye, ukuhlela imisebenzi yemihla ngemihla, okanye ukuhlala nizolile ixesha elide? Kwabo baphila ne- ADHD (Attention-Deficit Hyperactivity Disorder), le mingeni yemihla ngemihla iyinyani kakhulu. Ngethamsanqa, oogqirha badla ngokunika amayeza asebenza kakhulu abizwa ngokuba yiDexmethylphenidate ukunceda ukulawula ezi mpawu. Masihambe kuyo yonke into ekufuneka uyazi malunga nale mayeza ngendlela ecacileyo, exhasayo, nechanekileyo kwezonyango.

Yintoni iDexmethylphenidate?

Ngamafutshane, iDexmethylphenidate liyeza elinikwa ngugqirha elisetyenziselwa ukulawula iimpawu eziphambili ze-ADHD. Lisebenza ngokulinganisela iikhemikhali ezithile zendalo engqondweni ukuphucula ukugxila, ukugxila, kunye nokulawula iminqweno. Likudidi lwamayeza aziwa ngokuba zi-central nervous system stimulants , ezinceda ukuphucula umsebenzi wobuchopho .

Uza kufumana eli yeza phantsi kwegama lophawu lweFocalin , nangona ugqirha wakho eza kubhala ummiselo wesithako esisebenzayo, iDexmethylphenidate. Lisebenza kakhulu ekuncedeni abantwana kunye nabantu abadala ukuba bahlale becwangcisiwe, bagxile kwimisebenzi, kwaye balawule imisebenzi yemihla ngemihla ngokulula.

Ulwazi olubalulekileyo ekufuneka wabelane ngalo nogqirha wakho ngaphambi kokuba uqalise

Ngaphambi kokuba wena okanye umntwana wakho niqale ukusebenzisa iDexmethylphenidate, kubaluleke kakhulu ukwabelana ngembali yakho epheleleyo yezonyango nomboneleli wakho wezempilo. Ugqirha wakho kufuneka azi zonke iinkcukacha zempilo yakho ukuqinisekisa ukuba eli yeza likhuselekile kuwe. Nceda ujonge le theyibhile ingezantsi kwaye wazise ugqirha wakho ukuba wena okanye usapho lwakho nikhe nanembali yale meko.

Imeko Yezonyango (Imbali Yomntu okanye Yosapho) Kutheni kubalulekile ukuxelela ugqirha wakho?
Isifo sentliziyo, iziphene zentliziyo zokuzalwa, uxinzelelo lwegazi oluphezulu, okanye imbali yestroke Eli yeza linokunyusa kancinci izinga lentliziyo kunye noxinzelelo lwegazi. Ke ngoko, izigulane ezineengxaki zentliziyo esele zikhona zifuna ukujongwa ngokusondeleyo kunye nononophelo olukhulu.
Iingxaki zokujikeleza kwegazi okanye ukuhamba kwegazi kwiminwe okanye ezinzwaneni Izikhuthazi ngamanye amaxesha zinokunciphisa imithambo yegazi kwaye zinciphise ukujikeleza kwegazi ukuya emaphethelweni. Kubalulekile ukwazisa ugqirha wakho ukuba sele unazo ezi mpawu.
Naziphi na iingxaki zempilo yengqondo (umz., ukudakumba, ixhala, isifo sengqondo esibangela i-bipolar) Eli yeza linokuchaphazela imeko yengqondo kunye nokuziphatha. Ugqirha wakho udinga iprofayili epheleleyo yempilo yengqondo ukuze alungiselele isicwangciso sonyango ngokukhuselekileyo.
Imbali yomntu okanye yosapho yeengcinga okanye iindlela zokuziphatha zokuzibulala Olu lwazi lubucayi kakhulu kodwa lubalulekile. Ukwabelana ngalo kuvumela ugqirha wakho ukuba abeke esweni ngokufanelekileyo aze akhusele impilo-ntle yakho.
Imbali yokusebenzisa kakubi iziyobisi okanye utywala Ekubeni izinto ezikhuthazayo zinomngcipheko wokuxhomekeka okanye ukusetyenziswa gwenxa, ukuxoxa ngembali yakho yezonyango ngokukhululekileyo kunceda ugqirha wakho akunike amayeza aze awajonge ngokukhuselekileyo.
Ukunganyamezelani namayeza, ukutya, okanye ezinye izinto Oku kuqinisekisa ukuba awunayo i-allergy kwi-dexmethylphenidate okanye naziphi na izithako ezingasebenziyo kwithebhulethi.
Ukukhulelwa, ukucwangcisa ukukhulelwa, okanye ukuncancisa Kubalulekile ukuxoxa ngemingcipheko kunye neenzuzo zokusebenzisa eli yeza ngexesha lokukhulelwa okanye xa uncancisa nogqirha wakho.

Indlela Yokuthatha Eli Yeza

Ukusela la mayeza ngokuchanekileyo kulula kodwa kubalulekile. Hlala ulandela imiyalelo echanekileyo kagqirha wakho malunga nomthamo kunye nexesha lokuwasela.

  • Indlela yokuthatha: Ginya ipilisi ngeglasi yamanzi apheleleyo.
  • Ixesha: Zama ukuthatha idosi yakho ngexesha elifanayo yonke imihla ukuze ulungiselele inkqubo efanayo.
  • Nokuba utya okanye awutyanga: Ungalithatha eli yeza nokuba utya okanye awutyanga.
  • Ziphephe iidosi ezisele ziphelile: Thatha idosi yakho yokugqibela ubuncinci iiyure ezi-4 ukuya kwezi-6 ngaphambi kokulala . Ngenxa yokuba oku kuyavuselela, ukuyithatha emva kwexesha kakhulu emini kunokuphazamisa ubuthongo bakho.
  • Idosi: Ungaze uthathe ngaphezu kwedosi oyimiselweyo phantsi kwayo nayiphi na imeko.

Khumbula, eli yeza limiselwe wena kuphela. Ungaze ulinike omnye umntu, nokuba uneempawu ezifanayo, kuba oku kunokuba yingozi kakhulu.

Kuthekani Ngabantwana?

Eli yeza lidla ngokunikwa abantwana abangaphezu kweminyaka emi-6 ubudala. Nangona kunjalo, kufuneka amanyathelo akhethekileyo okuzikhusela. Ugqirha wakho wezingane uza kujonga rhoqo ubude bomntwana wakho, ubunzima bakhe, kunye nokukhula kwakhe ukuqinisekisa ukuba ukhula ngendlela eqhelekileyo.

Kuthekani Ukuba Uphoswa Yidosi?

Sonke siyalibala ngamanye amaxesha! Ukuba uphoswa yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yiyeke leyo uyiphosileyo kwaye uqhubeke neshedyuli yakho eqhelekileyo. Ungaze uyiphinde kabini idosi yakho ukuze ubuyisele leyo uyiphosileyo.

Oko Umele Ukwenze Kwimeko Yokuba Usebenzise Idosi Engaphezulu Kwexabiso Eliphezulu

Ukuba ukrokrela ukuba uphuze kakhulu ngengozi, musa ukulinda . Funa uncedo lwezonyango ngokukhawuleza ngokufowunela u-911, undwendwele isebe likaxakeka lesibhedlele sasekuhlaleni, okanye uqhagamshelane neziko lakho lesizwe lokulawula ityhefu ngoko nangoko.

Ubudlelwane obunokwenzeka phakathi kwamayeza

Kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke into oyithathayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini , kunyeizongezo zemifuno . Ezinye izinto zinokusebenzisana nobungozi neDexmethylphenidate.

Ungaze Udibanise Nala Mayeza!
Izithinteli ze-MAO (ii-MAOI) Amayeza okuphelisa uxinzelelo amadala afana neMarplan, Nardil, okanye iParnate. Ukudibanisa ii-MAOIs kunye neDexmethylphenidate kunokubangela ukunyuka koxinzelelo lwegazi okusongela ubomi. Musa ukuyisebenzisa zingadlulanga iintsuku ezili-14 emva kokusebenzisa i-MAOI.
U-Ozanimod Isetyenziselwa izifo ezifana ne-multiple sclerosis. Ukuyidibanisa nezinto ezivuselelayo kunokukhokelela kwiimpendulo ezimbi kakhulu.
Yazisa Ugqirha Wakho Ukuba Uthatha Nayiphi na Kwezi
Uxinzelelo lwegazi okanye amayeza entliziyo Izinto ezivuselelayo zinokuthintela ukusebenza kakuhle kwamayeza okunciphisa uxinzelelo lwegazi.
Amayeza okudakumba okanye amayeza okulwa nokuxhalaba Ukudibanisa amayeza athile kunokubangela imeko engaqhelekanga kodwa enzima ebizwa ngokuba yiSerotonin Syndrome.
I-Linezolid, i-Methylene Blue Ezi zinto zinokusebenza ngendlela efanayo ne-MAOIs, nto leyo eyonyusa umngcipheko omkhulu wemiphumo emibi.
Izithomalalisi zentlungu ze-opioid Ukusela ezi zinto kunye nezikhuthazi kunokunyusa umngcipheko weengxaki ezinkulu.

Amanyathelo Okuzikhusela Aphambili Ngexesha Lonyango

Ukuqala amayeza linyathelo lokuqala nje. Ukuhlala uqaphela indlela umzimba wakho osabela ngayo kubalulekile kwimpilo nokhuseleko lwexesha elide.

Ukuhlolwa rhoqo kwezonyango

Ungaze uphoswe ziintlanganiso zakho zokulandelela. Olu tyelelo lubalulekile kugqirha wakho ukuze ahlole ukuba unyango lusebenza kakuhle kangakanani, alungise iidosi, aze ajonge naziphi na iziphumo ebezingalindelekanga .

Iingozi zokuxhomekeka kunye nokusetyenziswa gwenxa

Ngenxa yokuba oku kuyakhuthaza, ukusetyenziswa ixesha elide ngamanye amaxesha kunokukhokelela ekuxhomekekeni ngokwasemzimbeni. Ukusetyenziswa gwenxa kukwanomngcipheko wokuba likhoboka. Yiyo loo nto kufuneka uhlale ulithatha njengoko uyalelwe . Ugqirha wakho unokucebisa ngamanye amaxesha ukuba uthathe ikhefu elifutshane ukusuka kwiyeza, njengangeempelaveki okanye iiholide zesikolo (ngamanye amaxesha zibizwa ngokuba "ziiholide zeziyobisi"). Oku kunika umzimba wakho ukuphumla okwethutyana kwaye kuvumela ugqirha ukuba ahlole imfuno yakho eqhubekayo yeli yeza.

Utshintsho kwiSidlo kunye noLawulo loBunzima

Ukuncipha komnqweno wokutya kuqhelekile xa uqala izikhuthazi. Ukuze ulawule oku, zama ukutya ukutya okuncinci, okunezakhamzimba ezininzi imini yonke endaweni yokutya okumbalwa okukhulu. Kubantwana, ukujonga ukukhula, ubude, kunye nobunzima rhoqo kubalulekile. Ukuba ukuphelelwa ngumdla wokutya kuyaqhubeka okanye kukhokelela kwimiba yobunzima, xoxa nomboneleli wakho wezempilo.

Iziphumo kwi-Blood Circuit (Raynaud's Syndrome)

Amaxesha amaninzi, izigulana zinokuba ne-nausea, iintlungu, okanye ukuziva umkhuhlane kwiminwe okanye ezinzwaneni zazo. Umbala wolusu unokutshintsha ukusuka kumhlophe ukuya kubhlowu, uze ube bomvu. Le meko yaziwa ngokuba yi-Raynaud's syndrome. Ukuba ubona naluphi na utshintsho kumbala wolusu, izilonda ezingachazwanga, okanye iintlungu emagxeni akho, qhagamshelana nogqirha wakho ngoko nangoko.

Utyando Oluzayo okanye IiSkeni

Ukuba ucwangciselwe naluphi na utyando, okanye uvavanyo olukhethekileyo olufana ne-MRI okanye i-CT scan, soloko wazisa iqela lezonyango ukuba usela eli yeza. Kusenokufuneka ulimise okwethutyana ngaphambi kwenkqubo .

Ukuqonda Iziphumo Ezinokubakho

Njengazo zonke iziyobisi, iDexmethylphenidate inokubangela iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo. Ukuzazi kukunceda uhlale ulawula impilo yakho. Masizihlukanise zibe ziimpawu ezinzulu ezifuna ingqalelo ekhawulezileyo kunye neziphumo ebezingalindelekanga ezingephi.

Iimpawu Ezingxamisekileyo: Funa Uncedo Lwezonyango Ngokukhawuleza okanye Undwendwele I-ER
Iimpendulo ze-allergy Ukurhawuzelelwa, ukurhawuzelelwa, ukudumba kobuso, imilebe, okanye ulwimi, kunye nobunzima bokuphefumla.
Iimpawu zokuhlaselwa yintliziyo Intlungu esifubeni, ukuqina, ukuphefumla nzima, ukubila okungachazekiyo, okanye isicaphucaphu.
Ukubetha kwentliziyo okungaqhelekanga Ukubetha kwentliziyo (ukubhabha kwentliziyo), isingqisho sentliziyo esingahambelaniyo, okanye isiyezi esiqatha.
Utshintsho lwengqondo okanye lokuziphatha Ubundlobongela obukhulu, ixhala eligqithisileyo, ukubona izinto ezingekhoyo, iingcinga zokuzilimaza, okanye ukuvuseleleka okukhulu.
Iimpawu zestroke Ukungaziva mnandi okanye ubuthathaka obuvela ebusweni, engalweni, okanye emlenzeni (ingakumbi kwicala elinye), ukuthetha okungacacanga, okanye ukungakwazi ukulungelelanisa amalungu omzimba.
Kwabesilisa: Ukuma ixesha elide, okubuhlungu nokungavuki Ukuma okubuhlungu okuhlala iiyure ezingaphezu kwe-4 (priapism) yingxamiseko yezonyango. Yiya kwicandelo lengxamiseko elikufutshane ngokukhawuleza.
Iziphumo Eziqhelekileyo Ezingalindelekanga: Yazisa Ugqirha Wakho Ukuba Ziyaqhubeka
Umlomo owomileyo Intloko ebuhlungu
Ukulahlekelwa ngumdla wokutya okanye ukwehla kobunzima Intlungu yesisu
Ingxaki yokulala (ukungalali) Isicaphucaphu

Indlela Yokugcina Nokulahla Amayeza Akho Ngokukhuselekileyo

Ukuphatha ngokukhuselekileyo amayeza avuselelayo kubalulekile ekukhuseleni usapho lwakho kunye noluntu.

  • Gcina kude nabantwana: Ungaze ushiye eli yeza apho abantwana okanye izilwanyana zasekhaya zinokulifumana khona. Ukulitya kunokuba yingozi kakhulu. Kucetyiswa kakhulu ukuligcina kwikhabhathi etshixiweyo.
  • Yigcine ikhuselekile: Ngenxa yokuba amayeza avuselelayo anokuba yinto ebangela ubusela okanye ukusetyenziswa gwenxa, wagcine kwindawo ekhuselekileyo nekhuselekileyo.
  • Iimeko zokugcina: Gcina kubushushu begumbi (phakathi kwe-15°C kunye ne-30°C okanye i-59°F ukuya kwi-86°F) kwindawo eyomileyo kude nokukhanya ngqo kunye nokufuma. Musa ukuyigcina kwigumbi lokuhlambela.
  • Ukulahla ngokukhuselekileyo: Lahla ngokufanelekileyo amayeza aphelelwe lixesha okanye angasetyenziswanga. Ukuze uwalahle ngokukhuselekileyo kwinkunkuma yasekhaya, xuba iipilisi kunye nento engafunekiyo efana nekofu esetyenzisiweyo, uthuli, okanye inkunkuma yekati (ungazityumzi). Beka umxube kwingxowa yeplastiki evaliweyo ngaphambi kokuba uwulahle. Buza ikhemisti yakho okanye ugqirha wakho malunga neenkqubo zasekuhlaleni zokuthatha amayeza.

Isishwankathelo Sakho Esifutshane (Umyalezo Omele Uwuthathe ...

  • I-Dexmethylphenidate liyeza elisebenza kakhulu ekulawuleni i-ADHD, kodwa kufuneka lithathwe kuphela phantsi kweliso elingqongqo lezonyango.
  • Soloko wazisa ugqirha wakho ngembali yakho epheleleyo yezonyango kunye nayo nayiphi na eminye imithi, iivithamini, okanye izongezo ozithathayo ngaphambi kokuba uqalise.
  • Sela amayeza akho ngendlela oyalelwe ngayo. Ungaze wandise umthamo wakho okanye wabelane ngomyalelo wakho nabanye abantu.
  • Funa uncedo lwezonyango olungxamisekileyo ngokukhawuleza ukuba ufumana iimpawu ezinzima ezifana neentlungu zesifuba, ubunzima bokuphefumla, okanye utshintsho olukhawulezileyo lwengqondo.
  • Gcina amayeza akho kwindawo ekhuselekileyo, kude kakhulu nabantwana nezilwanyana zasekhaya.
  • Yiya kuzo zonke iintlanganiso zokulandelela ezicwangcisiweyo ukuze ulandelele inkqubela phambili kwaye ulawule naluphi na utshintsho kunyango ngokukhuselekileyo.

I-Dexmethylphenidate, i-Focalin, i-ADHD, ukunqongophala kwengqwalasela, ukusebenza kakhulu, impilo yengqondo yabantwana, isivuseleli, amayeza e-ADHD, isikhokelo samayeza, iNirogi Lanka